Journal of forensic and legal medicine
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Lack of awareness and recognition of child maltreatment is the major reason behind underreporting. All victims often interact with the health care system for routine or emergency care. In several research works, non-accidental fractures are the second most common injury in maltreated children and it is represented up to one-third of cases. ⋯ Cases of neglect and child abuse represented 11% of all the studied cases, where neglect was the main cause. RTA and falling from height represented the most common cause of skeletal injury in children. Most fractures due to neglect were lower limb fractures resulting from falling from height. This demonstrates the need for early detection of neglect and child maltreatment aiming for early initiation of parental educational programs about child care and safety. Misinterpretation of skeletal injuries due to neglect or abuse can be avoided by proper training of orthopedic and traumatology staff on signs of child neglect and abuse.
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Letter Case Reports
Excited delirium syndrome after withdrawal from 10 days long recreationally used GHB.
We describe a case of a 51-year old man who used GHB only in the afternoon and evening during 10 consecutive days in a recreational way: 20 ml a day in 4 ml per 2-3 hrs. He developed an excited delirium syndrome at the second day after stopping. ⋯ This is a unique case in literature. References are provided.